…that is whether the patient is taking a steroid that cross reacts in the cortisol assay, whether the samples were taken at the right times…

…5. Add ipratropium in a severe or life threatening attack. 6. Give a systemic steroid early. 7. Insert intravenous access, but do not let blood…

…latter. The treatment is also time limited by its very nature: a patient who has not responded within a couple of hours should be intubated…

…and ACTH first only if this does not delay treatment. Plus fluid and glucose Adrenal crisis: hypotension that does not respond to fluid, abdominal pain…

…bolus, beginning with 500 ml of normal saline over 5 10 minutes, adjusting based on response. If hypotension persists despite fluid and epinephrine administration, consider…